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i <br /> _ I <br /> I I, <br /> I everetl <br /> � Q ' APPLICATION FOR RIGHT-OF-WAY USE PERMIT I <br /> I � Type or p.iN cleatly with ink � <br /> 'I `� PRESS HARD- YOU ARE MAKING COPIES iI <br /> r�-. <br /> � .- PUBUC�NORKS PERMIT NO. � v� <br /> � EVERETT,WASHINGTON <br /> I II APPLICANT (UNDERSIGNED)ANU FIRM REPRESENTED.IF ANV: <br /> HEREBY APPLIES FOR PERMISSION TO I <br /> IAT THE FOILOWING LOCATION " �/ � � " I�r��� yV �� <br /> IDRAWING (WORK TO BE DONE) OR THREE PLANS ATTACHED: <br /> � <br /> TT f�u,1 i iCnl GY= /J�'iu�C�,..��� /�.i i/ii✓ T/:z- <br /> /�OiiL�L /�//.-//i O <br /> r /✓i/, AIUS% f.j� f/7J�L/J. <br /> I <br /> � <br /> i <br /> i, <br /> I <br /> II <br /> �I <br /> I <br /> il I <br /> I I <br /> IDRIVEWAY SECTION ' <br /> I II PERMIT IS 'JALID FOR 60 DAVS � �� <br /> � COPY UF THIS APPLICATION TO BE POSTED I" LIP <br /> I ON JOBSITE. �30�� I _L3o',J <br /> I CALL FOR INSPECTION 259-8B1 1 <br /> 'i' <br /> 24 liOURS BEFORE CONSTRUCTlON Tha untlarsigned owner hereby agiees to holE en0 save harmless <br /> I� the Cily of EveroU Imm any entl nll claims lor dxmnges. costs <br /> I e.penses or causes ol action Ihat may anse Eecnuse ol mslallation i <br /> anC mam�enancc ol ihe improvement or o1M1er righLol-way use <br /> �II h[r¢�O BpPhC��0�0�4 Iur�hCi d9�BC510 remove same upon no�me <br /> Irom I�e Cny ana to replaee public peopetly damagetl t�eieby. <br /> I DEPARTMENT APPROVALS I <br /> I I <br /> SEH'Efl COMMUNILa110115 � I <br /> ILNAFRC ��I� � � y �� � //1 / / . L(� I <br /> I OqpINAGE A%(IK (/��I �� �%V <br /> P�ANNING �SIGNAtURE O�AP����AN� � / II <br /> WPIER r �. � �— I S �S'V I <br /> .J p ` <br /> P[O�,`,HE"�S<.(�/}�� � /1 �� V �/ <br /> SIaEET '. C� li(AMU •� ��� ,. � <br /> ' . _ Giv ^ ZIP �pN�J <br /> /' 1 <br /> � �U, � -ti z - � � � �/ll � ��� Nu3� �,�is�.. � <br /> i onre / `7 / <br /> pPPFOVED F'DR CONSTRUCTION . ' �� iE��pN[N� U!AOFA I <br /> �tE E <br /> , a � , i �' �o , <br /> i - w��- <br /> OniE � I <br /> pPPROVEDASCONSTRUCTED i <br /> CONSTRUCTiON/P.SBUILT �EE 1978 <br />